Srinivasan, Visalakshi
Srinivasan, Visalakshi is an sole proprietor health care provider with primary practice located at 3661 S Babcock St 2Nd Floor, Melbourne FL 32901-8903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Srinivasan, Visalakshi can be contacted via phone (321) 434-7611.Contact Information
Primary practice address
3661 S Babcock St 2Nd Floor
Melbourne FL 32901-8903
Phone: (321) 434-7611
Fax: (321) 727-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 35084470 | Ohio |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ME94188 | Florida |
Profile Details
| NPI number | 1760478796 |
|---|---|
| LBN Legal business name | Srinivasan, Visalakshi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Mar 19th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760478796 | NPPES |
| Florida | Other | U6270Y | FL MEDICARE |
| Florida | MEDICAID | 273765500 | FL MEDICARE |
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